Clinician Severity Assessment Grading Scale on Erythematotelangiectatic Rosacea

Seo, Jong-Kil; Shin, Eun-Jae; Jeong, Kyunguk; Shin, Min Kyung

doi:10.4103/ijd.ijd_611_19

Cited by 3 publications

(2 citation statements)

References 5 publications

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“… 19 , 20 IPL M22 Optima device (Lumenis, Yokneam, Israel) is one of the most widely used IPL machines for the treatment of photodamage and skin rejuvenation. 21 The M22 has various filters that can be used according to skin condition, including novel dual-band filters with wavelengths of 530–650 nm and 900–1200 nm (vascular filter) and 400–600 nm and 800–1200 nm (acne filter), which have been used in the treatment of facial telangiectasia and acne vulgaris. However, although previous studies have shown that IPL had a positive effect on increasing the clearance rate of PAE and acne vulgaris, the effect of the IPL narrow-spectrum vascular filter should be further improved.…”

Section: Introductionmentioning

confidence: 99%

Comparative Efficacy Between Intense Pulsed Light Narrow Spectrum and Broad Spectrum in the Treatment of Post-Acne Erythema (PAE)

Al-Quran,

Li,

Liu

et al. 2023

CCID

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Post-acne erythema (PAE) is one of the most common physical sequelae of acne regression, PAE can resolve spontaneously, but in some patients it may last for years. This study aimed to evaluate the efficacy and safety of narrow and broad spectrum filters of intense pulsed light (IPL) for the treatment of PAE. Patients and Methods: This prospective study evaluated 60 patients with PAE for at least 6 months, assigned equally to three groups: 1st group received narrow-spectrum with vascular filter (530-650 nm and 900-1200 nm), 2nd group received broad-spectrum with (560/590-1200 nm) filters, the appropriate adjustments were made according to patient's skin colour. Every patient received four sessions one month apart. 3rd group is blank control group did not receive any treatment. CAT (CEA (Clinical Erythema Assessment), Area, and Telangiectasia) used to grade clearance of PAE before and after treatment, Investigators Global Assessment (IGA) used to assess the improvement score after the treatment, and Cardiff Acne Disability Index (CADI) used to evaluate the impact of PAE on patients' Quality of Life (QoL). Self-satisfaction scale completed at the follow-up. Adverse events and acne relapse were recorded. Results: A significant decrease of CAT score in vascular group (P<0.05). IGA scale showed significant improvement after vascular treatment. A significant decrease in CADI (P<0.05) after vascular treatment. Patient satisfaction was higher in vascular group than control and blank control groups. Acne relapse observed in control and blank control groups (40% and 15%, respectively).10% of patients showed pigmentation, 15% had blisters after 590 nm treatment. Conclusion: IPL vascular filter (530-650 nm and 900-1200 nm) have efficacy in the treatment of PAE. CADI score, patient satisfaction, and acne relapse were significantly better after vascular narrow spectrum treatment than broad-spectrum treatment.

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Section: Introductionmentioning

confidence: 99%

Comparative Efficacy Between Intense Pulsed Light Narrow Spectrum and Broad Spectrum in the Treatment of Post-Acne Erythema (PAE)

Al-Quran,

Li,

Liu

et al. 2023

CCID

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“… 4 , 10 Therefore, more objective assessments without these deficiencies are required to evaluate the severity of facial erythema in rosacea accurately and consistently. 11 …”

Section: Introductionmentioning

confidence: 99%

Objectively quantifying facial erythema in rosacea aided by the ImageJ analysis of VISIA red images

Meng

Zhang

et al. 2022

Skin Research and Technology

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Background Facial erythema, a prominent characteristic of rosacea, causes concern to both the patient and doctor. In clinical practice, commonly used erythema severity subjective assessment tools lack objectivity and are less comprehensive. Even with images taken by the VISIA® system, diffused erythema is difficult to segment and evaluate fully due to the automatic threshold segmentation method. This study aimed to explore a more objective and scientific erythema quantification tool with the aid of the ImageJ software analysis of the red area images taken by the VISIA® system. Materials and methods Patients with rosacea were enrolled and assessed for the clinical severity of their illness using various stools—the standard grading systems (SGS) for rosacea, investigator's global assessment (IGA), and clinician's erythema assessment (CEA). Facial images in the red area mode of the VISIA® system were further analyzed by the ImageJ for the relative intensity of redness and percentage of erythema area; the correlation with the scores of the subjective grading systems was evaluated. Results This study included 201 patients (195 females and 6 males). The relative intensity of redness was positively correlated to the SGS, IGA, and CEA scores (0.688, 0.725, and 0.718, respectively) (p < 0.001). The percentage of erythema area was positively correlated to the SGS, IGA, and CEA scores (0.615, 0.666, and 0.656, respectively) (p < 0.001). Conclusion We demonstrated a more objective and precise method of assessing the severity of facial erythema rosacea, which could comprehensively assess the severity by both the area and intensity of facial erythema.

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A Cross-Sectional Study on the Relationship Between Rosacea Severity and Quality of Life or Psychological State

Yang¹,

Zhang²,

Song³

et al. 2022

CCID

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Background: Rosacea appears predominantly in highly visible areas of the facial region. Objective: To investigate the psychological status and quality of life(QOL) of rosacea. Methods: We used a hospital-based cross-sectional analytical study design between Jan 1, 2020, and Jan 1, 2021. We analyzed the differences and correlations in the severity of rosacea and its impacts on QOL and mental health, separately. Results: 469 patients with rosacea were included. The mean Dermatology Life Quality Index (DLQI) score was 12.6±7.7 and the affected level of DLQI was moderately severe. The total score of Rosacea-specific Quality-of-Life instrument (RosQol) was 2.34 ± 0.84, and the scores of emotion, symptoms, and function were 2.41 ± 0.99, 2.37 ±0.82, and 2.03 ± 0.89, respectively. 44.8% of patients suffered from anxiety and 37.5% from depression. There were statistically significant differences in the incidence of anxiety (p <0.001), the DLQL (p =0.02), RosQol emotion (p =0.04), symptom (p <0.01) and function (p =0.02) scores in the different severity. In addition, worsening QOL was significantly associated with increased disease severity [Spearman's rank correlation index (r) ranging from 0.171 to 0.266,p<0.01 (RosQol); r =0.104,p =0.024 (DLQI)]. There was also a positive correlation between anxiety [r =0.155; p<0.01] and the different severity levels. Conclusion: Rosacea maybe has a greater significant impact on patient's QOL and mental health. And the impact of QOL and mental health tend to deteriorate significantly with increasing disease severity. The relationship suggests that QOL assessment is of great interest in clinical practice and should be further explored.

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Clinician Severity Assessment Grading Scale on Erythematotelangiectatic Rosacea

Cited by 3 publications

References 5 publications

Comparative Efficacy Between Intense Pulsed Light Narrow Spectrum and Broad Spectrum in the Treatment of Post-Acne Erythema (PAE)

Comparative Efficacy Between Intense Pulsed Light Narrow Spectrum and Broad Spectrum in the Treatment of Post-Acne Erythema (PAE)

Objectively quantifying facial erythema in rosacea aided by the ImageJ analysis of VISIA red images

A Cross-Sectional Study on the Relationship Between Rosacea Severity and Quality of Life or Psychological State

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